Individual provider Active NPI

Patrick Imonitie Igharosa, MD

  • Internal Medicine Physician
  • Lufkin, TX
National Provider Identifier
1336675032
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S7243 Issued in TX
Practice address
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone
(936) 639-7015
NPI assigned
May 2, 2017
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X S7243 TX Primary

Addresses

Primary practice location

1201 W Frank Ave
Lufkin, TX 75904-3357

Mailing address

1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 639-7015

Other practice location 1

16904 140th Ave
Jamaica, NY 11434-5957
Phone (646) 500-2070

Other identifiers 1

IdentifierTypeStateIssuer
1336675032MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, LA, GA, AL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200813003640 TX Practitioner - Internal Medicine 3678818663 Reassigns benefits to 6 organizations
I20220628002007 OK Practitioner - Internal Medicine 3678818663 Reassigns benefits to 2 organizations
I20230216001269 LA Practitioner - Internal Medicine 3678818663 Reassigns benefits to 2 organizations
I20230817001058 GA Practitioner - Internal Medicine 3678818663 Reassigns benefits to 2 organizations
I20240321003565 AL Practitioner - Internal Medicine 3678818663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Hospital Medicine Services of Ga LLCGroup PAC ID 2062997505, 90 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8000

6161 S Yale Ave
Tulsa, OK 74136-1902

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as group
Quality
64.85
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Hospitalist Services of Texas, PLLC Internal Medicine CurrentSince Oct 10, 2021 Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Mar 10, 2023 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Current Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Nov 5, 2024 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Oct 10, 2021 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 9, 2024 Accepting new patients
Southern Physician Group Management LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients
St John Medical Center Inc Past Accepting new patients
Christus Health Central Louisiana Past Accepting new patients

Locations

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1336675032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16904 140th Ave",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114345957",
            "country_code": "US",
            "telephone_number": "646-500-2070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGHAROSA",
        "first_name": "PATRICK",
        "middle_name": "IMONITIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S7243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336675032",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.